How to treat prostatitis?

Chronic prostatitis is a common disease in both young and elderly men. Men often neglect the first signs of the disease and take time before visiting an urologist. Some of them just afraid, others feel no or slight discomfort. But the disease continues to progress. As a result, it may cause infertility, impotence, disorders of urination and worsen overall health. Besides, the recent research showed there is a strong link between chronic prostatitis and prostate cancer.

Prostatitis is usually caused by urinary tract infections. If gonorrhea, chlamydia or trichomoniasis has not been completely cured, they may not manifest themselves but may affect genitals and other organs of the body (joints, vessels, liver). Sedentary lifestyle, working as a driver, excessive heat loss, long-term stress, frequent intake of antibiotics, constipations and piles increase the risks of prostatitis.

You should visit an urologist if:

you are a young men and have an active sex life;

your partner or wife has any gynecological disease, including chronic cystitis;

you feel discomfort below your waist or perineum;

you feel burning in urethra;

you have problems with potency.

You should not be upset, if you have chronic prostatitis. Proper treatment and control help you to get rid of the disease.

Some urologists prescribe treatment, which do not give satisfactory results. Treatment usually includes antibiotics, pain and anti-inflammatory medications. The results of such treatment don not last long. When the disease recurs, a patient starts to seek for another doctor. It may happen over and over again for years.

What is the right treatment for prostatitis? An accurate diagnosis is the key to a successful treatment. All infections (usually more than one), which caused the disease, should be detected. A doctor shall also determine a stage of disease, evaluate state of immunity and detect possible underlying diseases. Treatment for prostatitis is always a stage-by-stage process. First, a patient undergoes pre-treatment. The goal here is to improve blood circulation and reclaim outflow of prostate secretion form the blocked ducts. Many studies proved that an immediate antibiotic therapy is not effective. It causes dysbiosis and makes infections more tolerant to antibiotics. Antibiotics are to be prescribed on the second stage of treatment, after a patient has undergone several procedures and taken the tests for infections. Medications can hardly penetrate the tissues of the prostate. That is why it is more preferable to administer them directly into the site of infection. Such technique helps to cure even advanced-stage prostatitis. At the last stage, a doctor prescribes the medications for better prostate, liver and intestine functioning.

Such comprehensive treatment program is prepared for each patient individually. A patient and his partner shall undergo treatment simultaneously. An urologist and gynecologist will control the treatment. As a result, the disease will be cured completely and the quality of a patient’s life will improve.

A. Gavrushev, PhD in Medical Sciences, Department of Urology of Belarusian State Medical University